CORE Physical Therapy In Omaha Explains…
Anterior knee pain? What do we know?
By Dr. Mark Rathjen PT DPT CSCS
CORE Physical Therapy & Sports Performance PC
Owner
17660 Wright St. 9/10/11
Omaha NE
402-933-4027
What does this mean?
Basically, with this means is the balance between the medial and lateral components of the quadriceps must be stabilized. We also have to work on the control of the knee via the hip external and internal rotational control. These stages in progression linearly will end us to the return to sports phase without knee pain. All facets of strengthening and symmetry and balance need to be addressed as a whole structure. This also means the origin of anterior knee pain could be fairly complicated and needs the diagnosis and treatment plan presented by a sports physical therapist of high-quality.
Can CORE help?
Yes Core Physical Therapy and sports performance is designed and implemented to be able to help the active individual and athlete return and prevent anterior and all types of knee pain that are non-surgical and origin. Core Physical Therapy on sports performance in Omaha Nebraska is the leader in all sports related exercise rehab protocol and postoperative rehab protocol. We have been working for more than a decade in the area with the highest level athletes. We are independently owned and operated in here to serve Omaha in the Best capacity.
-Dr. Mark Rathjen PT DPT CSCS
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At CORE Physical Therapy in Omaha, We specialize in the treatment of athletes. We have worked with athletes for a combined 30 years. CORE was established in 2015 by Dr. Mark and Dr. Claire Rathjen. CORE is family owned and operated.
Proud winners of the Omaha Choice awards for 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023
Anterior knee pain: an update of physical therapy
- PMID: 24997734
- DOI: 10.1007/s00167-014-3150-y
Abstract
Anterior knee pain is one of the most common knee problems in physically active individuals. The reason for anterior knee pain has been suggested to be multifactorial with patella abnormalities or extensor mechanism disorder leading to patellar malalignment during flexion and extension of the knee joint. Some patients complain mostly of non-specific knee pain, while others report patellar instability problems. The patients present with a variety of symptoms and clinical findings, meaning that a thorough clinical examination is the key for optimal treatment. Weakness of the quadriceps muscle, especially during eccentric contractions, is usually present in the majority of anterior knee pain patients. However, irrespective of whether pain or instability is the major problem, hypotrophy and reduced activity of the vastus medialis are often found, which result in an imbalance between vastus medialis and vastus lateralis. This imbalance needs to be corrected before quadriceps exercises are started. The non-operative rehabilitation protocol should be divided into different phases based on the patient’s progress.
The goal of the first phase is to reduce pain and swelling, improve the balance between vastus medialis and vastus lateralis, restore normal gait, and decrease loading of the patello-femoral joint.
The second phase should include improvement of postural control and coordination of the lower extremity, increase of quadriceps strength and when needed hip muscle strength, and restore good knee function.
The patient should be encouraged to return to or to start with a suitable regular physical exercise. Therefore, the third phase should include functional exercises. Towards the end of the treatment, single-leg functional tests and functional knee scores should be used for evaluating clinical outcome. A non-operative treatment of patients with anterior knee pain should be tried for at least 3 months before considering other treatment options.